Provider Demographics
NPI:1376005512
Name:MCCRAY, HADASSAH (DO)
Entity Type:Individual
Prefix:DR
First Name:HADASSAH
Middle Name:
Last Name:MCCRAY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:HADASSAH
Other - Middle Name:
Other - Last Name:HEERALALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:750 E ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-2306
Mailing Address - Country:US
Mailing Address - Phone:315-464-4357
Mailing Address - Fax:315-464-7212
Practice Address - Street 1:750 E ADAMS ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-2306
Practice Address - Country:US
Practice Address - Phone:315-464-4357
Practice Address - Fax:315-464-7212
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-05
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program